| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.52 | $22.56 | $22.56 | |
Cigna
| Facility | $20.67 | $21.16 | $21.16 | |
Cigna
| Professional | $17.98 | $21.16 | $37.50 | |
Medcost
| Facility | $10.89 | $22.56 | $27.36 | |
Medcost
| Professional | $28.73 | $28.73 | $28.73 | |
United
| Professional | $12.58 | $16.46 | $29.93 | |
Wellcare
| Facility | $80.00 | $153.85 | $153.85 |